Organization
MEDINFUSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GOGUE MD (MEDICAL DIRECTOR)
(248) 561-4812
Entity
Organization
Contact information
Practice address
20000 W 12 MILE RD, SOUTHFIELD, MI 48076-2428
(248) 561-4812
Mailing address
4612 RIVERS EDGE DR, TROY, MI 48098-4160
(248) 561-4812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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